Dinorah Zentner
Claims Coordinator
 (Health Benefits and Workers Comp)
HIPAA Contact

1010 East Eighth Street, Suite 630
Odessa, TX 79761
Phone:(432)498-4011
Fax:(432)498-4097

 Ector County Provider Networks:

Permian Basin Health Network (90% after $350.00 Deductible)
Private Healthcare Systems (80% after $350.00 deductible)

Insurance Department Forms

Open Enrollment Form

Health Insurance Claim Form 

Ector County's Benefit Plan

Evidence of Insurability Application

Life Insurance Certificate

Ector County HIPAA Privacy Rule Procedure Policy and Forms
(Effective 4-14-04)

Dental Insurance Claim Form 

Worker Comp Forms

First Report Of Loss

Accident Review Report

Employee Injury Notification